The school nurse recognizes that pubertal delay in girls is ...

[CORALGRILL2014]

The school nurse recognizes that pubertal delay in girls is considered if breast development has not occurred by which age?
 
  a. 10 years
  b. 11 years
  c. 12 years
  d. 13 years

Question 2

The nurse is explaining to an adolescent the rationale for administering a Tdap (tetanus, diphtheria, acellular pertussis) vaccine 3 years after the last Td (tetanus) booster. What should the nurse tell the adolescent?
 
  a. It is time for a booster vaccine.
  b. It is past the time for a booster vaccine.
  c. This vaccine will provide pertussis immunity.
  d. This vaccine will be the last booster you will need.

[mcinincha279]

Answer to Question 1

ANS: D
Girls may be considered to have pubertal delay if breast development has not occurred by age 13 years or if menarche has not occurred within 2 to 2 1/2 years of the onset of breast development.

Answer to Question 2

ANS: C
When the Tdap is used as a booster dose, it may be administered earlier than the previous 5-year interval to provide adequate pertussis immunity (regardless of interval from the last Td dose). It is not time or past time for a booster because they are required every 5 years. Another booster will be needed in 5 years, so it is not the last dose.

[CORALGRILL2014]

TYSM

[shailee]

Thanks for the timely response, appreciate it